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肺癌右下肺叶切除术后的平卧呼吸困难-直立性低氧血症综合征

Platypnea-orthodeoxia syndrome after right lower lobectomy for lung cancer.

作者信息

D'Mello Andre C, Haji Kawa, Moir Stuart, Leong Paul

机构信息

Monash Heart, Monash Health, Clayton, Victoria, Australia.

Department of Cardiology, Western Health, Melbourne, Australia.

出版信息

Oxf Med Case Reports. 2019 Jan 1;2019(1):omy049. doi: 10.1093/omcr/omy049. eCollection 2019 Jan.

Abstract

Platypnea-orthodeoxia syndrome (POS) is a rare condition characterized by dyspnoea and deoxygenation in an upright position that is relieved by supine positioning. There are only five published accounts of it occurring post-lobectomy. We present the case of a 72-year-old male with 3 months of supposedly unexplained dyspnoea after right lower lobectomy for lung cancer who was confirmed to have POS. We highlight the importance of recognition and management as well as provide a brief summary of the pathophysiology.

摘要

平卧呼吸-直立性低氧血症综合征(POS)是一种罕见病症,其特征为直立位时出现呼吸困难和脱氧,而仰卧位可缓解。关于肺叶切除术后发生该病症的报道仅有五例。我们报告一例72岁男性病例,其在因肺癌接受右下肺叶切除术后出现了3个月原因不明的呼吸困难,最终确诊为POS。我们强调了识别和处理该病症的重要性,并简要概述了其病理生理学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97be/6312573/421574725162/omy049f01.jpg

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